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2010 CHAMP Topics

General Health (see results for 2009, 2008, 2007, 2006, 2005)

• Would you say that in general (CHILD)’s health is:

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Birth Characteristics (see results for 2007, 2006, 2005)

• Gestational Age at Birth
• Premature Birth
• Low Birth Weight

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Weight (see results for 2009, 2008, 2007, 2006, 2005)

• BMI-for-Age Weight Status Categories
• Weight-for-Age Categories
• How did you arrive at child's weight?
• How did you arrive at child's height?
• During the past year, has your child’s physician or another health professional told you that your child was overweight?

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Breast Feeding (see results for 2009, 2008, 2007, 2006, 2005)

• Was (CHILD) breastfed for any length of time?
• How old was (CHILD) when (s/he) completely stopped breastfeeding or being fed breast milk?
• Length of time EXCLUSIVELY breastfed
• Did his/her doctors or health providers give you any help or encouragement for breastfeeding?

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Health Care Access and Utilization (see results for 2009, 2008, 2007, 2006, 2005)

• Does (CHILD) have any kind of health care coverage?
• During the past 12 months was there any time when s/he was not covered by ANY health insurance?
• Child currently does not have insurance or at some point in the past 12 months did not have insurance
• What kind of place does (CHILD) go to most often for sick care:
• Do you have one person you think of as the (CHILD)'s personal doctor or nurse?
• During the past 12 months has (CHILD) had a preventive care visit or Well Child check-up?
• During the past 12 months did (he/she) receive all the medical care you felt (he/she) needed?
• During the past 12 months, how often did (CHILD)’s doctors and other health care providers spend enough time with (him/her)?
• During the past 12 months, how often did (CHILD)’s doctors or other health care providers help you feel like a partner in (his/her) care?
• Thinking about (CHILD)’s health needs and all the services that (he/she) needs, have you had any difficulties trying to use these services during the past 12 months?
• Has (CHILD)’s doctor or other health care providers ever talked with you about how you can help (CHILD) to eat healthy?
• Has (CHILD)’s doctor or other health care providers ever talked with you about how you can help (CHILD) to be more physically active?

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Immunizations (see results for 2009, 2008, 2007)

• Have you ever heard of the HPV vaccine?
• Did you hear about the HPV vaccine through (CHILD)'s school?
• Has (CHILD) had any shots of the HPV vaccine? Among those who have heard of the HPV vaccine
• Has (CHILD) had any shots of the HPV vaccine? Including those who have never heard of the HPV vaccine
• What is the MAIN reason (CHILD) has NOT received the HPV vaccine?
• Has (CHILD) had the meningitis vaccine?
• What is the MAIN reason (CHILD) has NOT received the meningitis vaccine?
• Has (CHILD) ever had a tetanus shot?
• What is the MAIN reason (CHILD) has NOT received a tetanus shot?
• Have you ever refused or postponed to get a vaccine shot for (CHILD)?
• Why did you postpone or refuse to get the vaccine shot?

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School Performance (see results for 2009, 2008, 2007, 2006, 2005)

• During the past 12 months, about how many days did (CHILD) miss school because of an illness?
• During the past 12 months, about how many days did (CHILD) miss school because of an injury?
• During the past 12 months, about how many days did (CHILD) miss school because of some other reason?
• During the past 12 months, about how many days did (CHILD) miss school because of illness or injury?
• How would you describe (CHILD)'s performance in school over the past 12 months?
• Since starting kindergarten, has {he/she} repeated any grades?
• During the past 12 months, was (CHILD) on a sports team or did (he/she) take sports lessons after school or on weekends?
• During the past 12 months, did (he/she) participate in any clubs or organizations after school or on weekends?
• In the past 12 months, has (CHILD)’s school asked you what nutritious foods your family would like to see offered at the school?
• In the past 12 months, has (CHILD)’s school asked you to help with programs related to: Tobacco use prevention?
• In the past 12 months, has (CHILD)’s school asked you to help with programs related to: Physical activity?
• In the past 12 months, has (CHILD)’s school asked you to help with programs related to: Nutrition & healthy eating?
• In the past 12 months, has (CHILD)’s school asked you to help with programs related to: Asthma?

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Asthma (see results for 2009, 2008, 2007, 2006, 2005)

• Has a doctor ever told you that (CHILD) has asthma?
• Does (CHILD) still have asthma?
• During the past 12 months, has {he/she} had to visit a hospital emergency room or urgent care clinic because of his/her asthma?
• Is (CHILD) using a medicine every day, such as a Beclovent, Azmacort, Pulmicort, Flovent, Advair, Singulair, or Vanceril inhaler, that was prescribed by a doctor to keep him/her from having asthma problems?
• Does (CHILD) use a rescue medication such as Albuterol, Alupent, Ventolin, Proventil, Xopenex or Maxair inhaler?
• During the past 12 months, how many days of daycare or school did (CHILD) miss due to asthma?
• At school, is (CHILD) allowed to self administer emergency medication for asthma?
• Has a doctor or other health professional ever given you an asthma management plan for (CHILD}?

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Children with Special Health Care Needs (CSHCN) (see results for 2009, 2008, 2007, 2006, 2005)

• Does (CHILD) currently need or use more medical care, mental health or educational services than is usual for most children of the same age?
• Is (CHILD)'s need for medical care, mental health or educational services because of ANY medical, behavioral, or other health condition?
• Has (CHILD)'s need for medical care, mental health or educational services lasted or is it expected to last 12 months or longer?
• Does (CHILD) currently need or use medicine prescribed by a doctor, other than vitamins?
• Is (CHILD)'s need for prescription medicine because of ANY medical, behavioral, or other health condition?
• Has (CHILD)'s need for prescription medication lasted or is it expected to last 12 months or longer?
• Is (CHILD) limited or prevented in any way in his/her ability to do the things most children of the same age do?
• Is the limitation in abilities because of ANY medical, behavioral, or other health condition?
• Has (CHILD)'s limitation in abilities lasted or is it expected to last 12 months or longer?
• Does (CHILD) need or get special therapy, such as physical, occupational, or speech therapy?
• Is the need for special therapy because of ANY medical, behavioral, or other health condition?
• Has (CHILD)'s need for special therapy lasted or is it expected to last 12 months or longer?
• Does (CHILD) have any kind of emotional, developmental, or behavioral problem for which he/she needs treatment or counseling?
• Has the emotional, developmental or behavioral problem lasted or is it expected to last 12 months or longer?
• Has (CHILD)’s doctor or health care provider ever given you or your child a written plan to help them manage their condition as they become an adult?
• Children with Special Health Care Needs based on ONE screening criteria
• Children with Special Health Care Needs based on TWO screening criteria
• Children with Special Health Care Needs based on FIVE screening criteria

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Child Health Conditions (see results for 2009, 2008, 2007, 2006, 2005)

• Has a doctor or health professional ever told you that (CHILD) had diabetes or high blood sugar?
• Has a doctor or health professional ever told you that (CHILD) has borderline diabetes or pre-diabetes?
• Has a doctor or health professional ever told you that (CHILD) has high blood pressure?
• Has a doctor or health professional ever told you that (CHILD) has a permanent hearing loss or hearing impairment?

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Oral Health (see results for 2009, 2008, 2007, 2006, 2005)

• How would you rate the condition of (CHILD)'s teeth?
• Does s/he have a dentist or dental clinic where s/he goes regularly?
• About how long has it been since (CHILD) last saw a dentist?

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Nutrition (see results for 2009, 2008, 2007, 2006, 2005)

• In a typical week, how many of (CHILD)’s meals come from fast food restaurants, like McDonalds, Taco Bell, or KFC?
• On a typical day, how many times does s/he drink sweetened beverages such as soda pop, sweet tea, fruit punch, Kool-aid, sports drinks or fruit drinks?
• On a typical day, how many servings of fruit does (CHILD) eat?
• On a typical day, how many servings of 100% fruit juice does (CHILD) drink?
• On a typical day, how many servings of vegetables does (CHILD) eat, not including french fries?
• On a typical day, how many servings of fruit and/or vegetables does (CHILD) eat?
• On a typical day, how many servings of fruit, 100% fruit juice and/or vegetables does (CHILD) eat?
• What type of milk does (CHILD) usually drink?

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Whole Grain Foods (see results for 2009)

• In the past week, has (CHILD) eaten any whole grain foods?
• In the past week, how many times did (CHILD) eat: Whole grain cereals like Cheerios, Wheaties, Life, Bran Flakes or Grape Nuts?
• In the past week, how many times did (CHILD) eat: Whole wheat breads or whole grain breads like 100% whole wheat or 12 grain bread?
• In the past week, how many times did (CHILD) eat: Brown rice?
• In the past week, how many times did (CHILD) eat: Soft corn or whole wheat tortillas?

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Physical Activity (see results for 2009, 2008, 2007, 2006, 2005)

• During the past week, on how many days did (CHILD) exercise, play a sport, or participate in physical activity for at least 60 minutes that made (him/her) sweat or breathe hard?
• On a typical day, how much total time does (CHILD) spend watching TV, videos, or DVDs?
• On a typical day, how much total time does (CHILD) spend playing video games, computer games or using the Internet?
• On a typical day, how much total time does (CHILD) spend watching TV, videos, or DVDs OR playing video games, computer games or using the Internet?

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Parent Reaction to Child Weight (see results for 2009, 2006, 2005)

• How would you describe your child's weight?

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Food Insecurity (see results for 2009, 2008, 2007, 2006, 2005)

• Is s/he currently enrolled in the WIC program?
• Is your household currently enrolled in the Food Stamp Program?
• During the past 12 months, did (CHILD) receive free or reduced-cost breakfasts or lunches at school?
• In the last 12 months, how often did you rely on only a few kinds of low-cost food to feed (CHILD) because you were running out of money to buy food?
• In the last 12 months did you ever cut the size of (his/her) meals because there wasn't enough money for food?

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Family Involvement (see results for 2009, 2008, 2007, 2006, 2005)

• How many times does your household eat dinner together in a typical week?
• During the past week, how many days did you or other family members read to (CHILD)?

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Parent Opinion (see results for 2006, 2005)

• To what extent do you believe overweight in children is a serious problem in your community?
• How important do you believe it is for schools to provide routine physical activity opportunities, in addition to physical education, throughout the school day?

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Tobacco Indicators (see results for 2006, 2005)

• How often have you discussed the dangers of tobacco use with (CHILD) in the last 12 months?

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Parent Education (see results for 2009, 2008)

• Have you heard that there is now a Local Wellness Policy for all the schools in your county?
• Parent level of interest in learning more about: Helping teens maintain a healthy weight
• Parent level of interest in learning more about: Teens and driving safety
• Parent level of interest in learning more about: Talking with teens about their health
• Parent level of interest in learning more about: Teens and tobacco
• Parent level of interest in learning more about: Sexually transmitted diseases
• Parent level of interest in learning more about: Preventing teen pregnancy
• How would you prefer to learn more about teen health topics: From other parents?
• How would you prefer to learn more about teen health topics: From child’s school?
• How would you prefer to learn more about teen health topics: From child’s doctor or health provider?
• How would you prefer to learn more about teen health topics: television?
• How would you prefer to learn more about teen health topics: the internet?
• How would you prefer to learn more about teen health topics: A DVD?
• How would you prefer to learn more about teen health topics: A book or magazine?
• How would you prefer to learn more about teen health topics: A telephone helpline or call-in parenting line?

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Sexual Behavior (see results for 2009, 2008, 2007, 2006, 2005)

• Have you or other members of your family ever talked with your child about what you expect them to do or not do when it comes to sex?
• Do you believe (CHILD) has ever had sexual intercourse?
• Do you feel that your child is well informed about HIV and STDs?
• Do you feel well prepared to talk with (CHILD) about reducing {his/her} chances of getting HIV/STDs?
• Have you discussed with (CHILD) about reducing his/her chances of getting HIV or Sexually Transmitted Diseases?

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Child Safety and Injury (see results for 2009, 2007, 2006, 2005)

• In the past month, has (CHILD) been home alone for more than one hour without the supervision of an adult or a child 13 or older?
• Has (CHILD) ever been injured so that (he/she) could not participate in (his/her) usual activities for one day or more?
• During the past 12 months, has (CHILD) had an injury that needed medical attention?

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Child Discipline (see results for 2007)

• Has anyone in your household used this approach with (CHILD) in the past month: Shouted, yelled at or screamed at (him/her)?
• Has anyone in your household used this approach with (CHILD) in the past month: Insulted or called (CHILD) dumb, lazy, or another name like that?
• Has anyone in your household used this approach with (CHILD) in the past month: Spanked (him/her) on the bottom with a bare hand?
• Has anyone in your household used this approach with (CHILD) in the past month: Hit (him/her) on the bottom or legs with something like a belt, hairbrush, or other hard object?
• Has anyone in your household used this approach with (CHILD) in the past month: Hit or slapped (him/her) on the hand, arm or leg?
• Has anyone in your household used this approach with (CHILD) in the past month: Slapped (him/her) on the face, head or ears?
• Has anyone in your household used this approach with (CHILD) in the past month: Rewarded (him/her) for good behavior such as giving (him/her) a special privilege, a favorite food or taking (him/her) to a favorite place?

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Page Last Updated September 27, 2012

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